Can one detect atrial fibrillation using a wrist-type photoplethysmographic device?

Details

Serval ID
serval:BIB_06ED0E862396
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Can one detect atrial fibrillation using a wrist-type photoplethysmographic device?
Journal
Medical & biological engineering & computing
Author(s)
Fallet S., Lemay M., Renevey P., Leupi C., Pruvot E., Vesin J.M.
ISSN
1741-0444 (Electronic)
ISSN-L
0140-0118
Publication state
Published
Issued date
02/2019
Peer-reviewed
Oui
Volume
57
Number
2
Pages
477-487
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
This study aims at evaluating the potential of a wrist-type photoplethysmographic (PPG) device to discriminate between atrial fibrillation (AF) and other types of rhythm. Data from 17 patients undergoing catheter ablation of various arrhythmias were processed. ECGs were used as ground truth and annotated for the following types of rhythm: sinus rhythm (SR), AF, and ventricular arrhythmias (VA). A total of 381/1370/415 10-s epochs were obtained for the three categories, respectively. After pre-processing and removal of segments corresponding to motion artifacts, two different types of feature were derived from the PPG signals: the interbeat interval-based features and the wave-based features, consisting of complexity/organization measures that were computed either from the PPG waveform itself or from its power spectral density. Decision trees were used to assess the discriminative capacity of the proposed features. Three classification schemes were investigated: AF against SR, AF against VA, and AF against (SR&VA). The best results were achieved by combining all features. Accuracies of 98.1/95.9/95.0 %, specificities of 92.4/88.7/92.8 %, and sensitivities of 99.7/98.1/96.2 % were obtained for the three aforementioned classification schemes, respectively. Graphical Abstract Atrial fibrillation detection using PPG signals.
Keywords
Artifacts, Atrial Fibrillation/diagnosis, Atrial Fibrillation/physiopathology, Catheter Ablation/methods, Female, Heart Rate/physiology, Humans, Male, Middle Aged, Photoplethysmography/methods, Wrist/physiopathology, Arrhythmias, Atrial fibrillation, Photoplethysmography
Pubmed
Web of science
Create date
23/05/2024 11:25
Last modification date
24/05/2024 7:06
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